<!--
Do not modify the NAME value of any of the INPUT fields
the FORM action, or any of the hidden fields (eg. input type=hidden).
These are all required for this form to function correctly.
-->
<style type="text/css">
td {
	font-size: 20px;
}

input {
	font-size: 20px;
}
</style>
<form method="post" action="%%FormAction%%" id="frmSS%%FormID%%" onsubmit="return CheckForm%%FormID%%(this);">
	<table border="0" style="border: 1px solid black;" cellpadding="20">
		%%FormContents%%
		<tr><td colspan="2">%%LNG_Form_Branding%%</td></tr>
	</table>
</form>

<script type="text/javascript">
// <![CDATA[
%%Javascript%%
// ]]>
</script>
